DAVID EISENBREY (NPI# 1487183984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487183984 |
| Entity Type | Individual |
| Full Name | DAVID EISENBREY |
| Credential | MD |
| Practice Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8103422000 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301112115 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488982001 | 2488982017 |
| Street Address |
401 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1255931200 | Rachel Webster | Student in an Organized Health Care Education/Training Program | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-29 |
| 1093315442 | Kai A Forte | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-27 |
| 1235756560 | Seth Campbell | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-07-02 |
| 1164049805 | Andrew Peace | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-29 |
| 1285250316 | Nischit Baral | Internal Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-24 |
| 1871117457 | Thaer Jamal Farhan | Family Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-05-30 |
| 1902447667 | Adrienne L Dudley | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-10-03 |
| 1235798083 | Hossein Tabrizi | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| 1992364731 | Nathanael Adams | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407080286 | Theresa Joann Cooley | Emergency Medicine | 401 South Ballenger Hwy, Flint, MI 48532 | 2009-05-08 |
| 1780834366 | Mahmoud Haydar | Emergency Medicine | 6341 Woodmere Ct, Flint, MI 48532-2165 | 2008-09-19 |
| 1649269051 | Theodore Israel Gould | Emergency Medicine | 18118 County Road 344, Flint, TX 75762 | 2005-10-18 |
| 1467447557 | Leonard W. Vangelder | Emergency Medicine | 2335 S Linden Rd, Suite B, Flint, MI 48532-5497 | 2005-09-14 |
| 1881124816 | Bruce Allen Wallace Jr. | Emergency Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2017-06-13 |
| 1003200650 | Ryan J. Reece | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2015-03-21 |
| 1912313149 | Taichi Itoh | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2014-07-09 |
| 1720493315 | Benjamin Sprague Misemer | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2014-06-23 |
| 1134547839 | Nicholas Satterfield | Emergency Medicine | 1 Hurley Plaza, Department of Emergency Medicine, Flint, MI 48503-5902 | 2014-04-01 |
| 1821435132 | Hurley Medical Center | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-05-28 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.